| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,313 |
2,900 |
$146K |
| 95117 |
|
10,993 |
4,401 |
$145K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
817 |
785 |
$75K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
422 |
411 |
$37K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
262 |
97 |
$7K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
47 |
45 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
56 |
53 |
$4K |
| 94060 |
|
38 |
38 |
$2K |
| 94729 |
|
14 |
14 |
$452.20 |
| 94727 |
|
14 |
14 |
$365.07 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
52 |
49 |
$324.42 |